![]() ![]() Here is the thing Andy, primary care physicians do not need innovations to connect people. You talk about encouraging innovations to connect people with primary care. It is necessary at this point in time that they do. I think it could work if you put that on your task list.ĬMS employees have not spent one day inside a small primary care practice. ![]() They could be raised to believe indentured servitude is their destiny. Can you grow psychiatrists somewhere at an accelerated rate, like that clone army in Star Wars, and drop them randomly by plane throughout the United States? That would be a good start. Many states all over are experiencing the same provider shortages. My county with a population of 260,000 has NO psychiatrist. What will you do then?Īs to your Collaborative Care Model, supporting mental and behavioral health through a team-based, coordinated system involving a psychiatric consultant, behavioral health manager, and the primary care physician sounds like a dream come true. Access will be worse than it is right now. If primary care is rendered obsolete because we could not keep up with your overwhelming demands, access will be in jeopardy. Have you not realized small practices provide urgent and emergency care, acute and chronic care, plus everything in between? Care coordination, we already do it! Winging it when there is NO specialist to refer to at all, we already do! It is value, pure and simple. Primary care physicians, actually ALL physicians, deserve better. Make our lifestyle something to which others want to aspire and you will find more primary care physicians wanting to work in smaller areas. Higher reimbursement allows us to slow down and talk longer with each individual patient. Second, value will materialize if you pay us more for what we do. Stop adding complicated algorithms and programs to increase reimbursement while expanding our administrative burdens. Find technology that is useful to both physician and patient while being affordable at the same time. There is very little margin to work with in my office, and if I make a wrong decision, my practice (and many others) will be dead in the water. If you want me to collect mountains of data, then prove it actually increases quality, reduces cost, and decreases our workload before I get on board. You do not belong between me (the physician) and my patient – move out of the way. Physicians are overwhelmed, hopeless, and trying to get out of the practice of medicine altogether. Technology has not improved safety, efficiency, or patient satisfaction and has only served to increase physician dissatisfaction. It has been destructive to the physician-patient relationship as well. The EHR mandate has damaged our profession as a whole. Why do you need all this data? Your days at McKinsey & Company have hooked you on its necessity to make management decisions, but your background is in healthcare insurance and expenses is a far cry from the provision of primary health care or value-based care. Do you understand that?įirst and foremost, the largest stumbling block for reducing expenditures of a small practice is addressing the certified EHR. Tasking us with additional administrative burden in order to earn extra money is not actually paying us any more for our work. The bottom line: you must pay us more for what we are doing if you want to increase our overhead expenses. Once you understand what we are capable of doing, how we do it, and how it actually SAVES money in the long run, while still providing high quality, then you are ready to tackle Focusing on Primary Care for Better Health. You cannot repair what you do not comprehend. This knowledge deficit is at the core of CMS’s problem. You need to see what we do on a daily basis and actually understand the view from a small practice perspective. Come spend one day, or even a week at my office or another small primary care physicians’ office. Andy, if you want to fix primary care you must do some field research. ![]()
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